Chung Internal Medicine & Aesthetics, P.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHUNG INTERNAL MEDICINE & AESTHETICS, P.C

Practice address

6750 Tryon Rd Ste 101
Cary, NC 27518-7056

Phone

(919) 987-4285

NPI assigned

Oct 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. So Yeon Chung, MDNPI 1225423254

Title

Ceo

Phone

(919) 987-4285

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• So Chung, M.D.,

  • Internal Medicine Physician
  • Cary, NC
  • NPI 1225423254
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1235951195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 BENT TREE LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275191902",
            "telephone_number": "919-987-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 TRYON RD STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187056",
            "telephone_number": "919-987-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG INTERNAL MEDICINE & AESTHETICS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SO",
        "authorized_official_middle_name": "YEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-987-4285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Christopher
• Chronic Hope Counseling and Community Center
• Jeanette L. Chu
• Carly Chulock, OTR/L
• Angela Soyoung Chun, DDS
• Hojun James Chung
• Lisa Chung
• So Chung, M.D.,
• Lauren Church, BT
• Megan Therese Church, M.S. CCC-SLP

• Internal Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.